Resources to Decrease Denied Medical Claims.
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Home | Write Sample Appeal Letters



Write Sample Appeal Letters

AppealLettersOnline.com provides articles & case studies to assist medical providers write appeal letters to resolve denied insurance claims. Denied claims are one of the major problems facing today’s health care professionals. Getting a claim paid, and paid in a timely manner, can be a complicated process. The importance of managing claim denials is paramount in addressing cash flow, compliance and licensing and regulatory requirement issues. Implementing an effective denial management program can improve financial performance more efficiently than generating additional revenue or controlling costs. By viewing a denial program as enhancing revenue, providers can significantly improve their financial performance, cash flow and profitability.

AppealLettersOnline.com can assist providers implement an effective denial management program. AppealLettersOnline.com is an interactive resource provided to level the playing field between Insurance Companies and Medical Providers. You will find appeal letters, case studies, articles, other resources and the latest intelligence necessary to help healthcare providers make vital decisions and take strategic actions to address payer denial issues. AppealLettersOnline.com will help health care providers actively develop the processes, analytical tracking information, educational programs and procedures needed for implementing an effective denial management program.

Some of the topics covered at AppealLettersOnline.com include addressing payment reductions such as usual and customary and out-of-network care reductions, lack of timely filing denials, pre-existing conditions and medical necessity appeals and improving verification of benefits procedures. Treatment exclusions, maximum benefits denials and subrogation/coordination denials are also discussed. Tips are also provided on appealing for interest and penalty payment on late payments and appealing a request for a refund of previously paid claims. AppealLettersOnline.com discusses all types of claims including Managed Care, Indemnity, Government, Self-Funded, ERISA claim issues and managed care contractual payment discrepancies.


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 TESTIMONIALS
"The service more than paid off. The first one I used had a yield of $19,700. It was a preauthorization issue. I used one of the appeal letters I purchased as the framework for the appeal I constructed. I have won quite a few utilizing the letters this way. They are a wonderful resource."

Mary W.


"My facility has been utilizing your service for almost two months. We are actually realizing payments on Managed Care denials that we would have otherwise written off. Also, for the first time, instead of us hunting the insurance companies for payment, the insurance companies are reaching out to contact us after receiving our letters. It's amazing the turnaround!"

Sheryl M.


"I just want to say that this is the greatest reference to appeal letters that there can be!"

Agnes S.


"The content of the appeal letters really provides results, both in overturned claims and prompt responses from carriers. Some letters work better than others, depending on the denial reason, but they give us the means to appeal any type of denial and exercise our right to have denials reviewed and to be provided with proof to support their position."

Peggy A.


"In today's payer environment, we need to be armed with the most powerful weapon to look out for the rights of our doctors and get them reimbursed fairly for the work they have done. Appeal Solutions gives us that ammunition."

Barbara C.


"I attended a Coding/Reimbursement seminar this past weekend in Las Vegas. During the conference I announced to the crowd that your service has saved us labor and precious revenue. I just wanted you to know that you have an effective service and our office has enjoyed the ease and rate of success we have enjoyed since we began using it."

Melissa G.


"I am a subscriber to your website and I absolutely love it."

Theresa D.


"I purchased the membership and wanted to tell you that I used one of the letters as suggested by you and was able to get the denial overturned. It was worth about $12,000."

Jolyn T.


"I never got a chance to let you know how much the letters helped me in collections. I was able to collect $98,000.00 on JUST ONE clinical trials case from an HMO case because of the ground work your company did. Your letters really do work. Such a great service and a great assistance to the patients who do not know the ins and outs of the Insurance juggernaut. INVALUABLE TO SAY THE LEAST!"

Terri P.


"Your website has been very helpful! Worth twice the price!"

Maria T.


"I just purchased your service and only being on it the very first time and in only 20 minutes, it is blowing my mind with all the information and tools you offer. I have racked my brain in some instances with these carriers and how to play their games. I have appealed, re-appealed, and even gotten suggestions from others on appeals. Your letters are law guided and I know will be more beneficial to us at work. I can't wait to share this new found information. I only purchased your product for one year as a trial basis in tracking increased reimbursement by using your letters; but I feel I will be extending this and/or upgrading before the year is out. Thank you so very much, and I am glad I was surfing today. I was at the end of my rope."

Debra M.